아메드 방수유출장치 삽입수술의 성공과 관련된 요인

• 영문명: The Factors Associated with the Success of Ahmed Glaucoma Valve Implantation
• 발행기관: 대한안과학회
• 저자명: 이양원 임진호 이성복 김창식,Yang-Won Lee, M.D., Jin-Ho Yim, M.D., Sung-Bok Lee, M.D., Chang-Sik Kim, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number9, 1509~1517쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.09.30

영문 초록

Purpose: To evaluate the factors associated with the success of Ahmed glaucoma valve implantation in refractory glaucoma. Methods: The medical records of 45 eyes of 45 patients that underwent Ahmed implant surgery for the treatment of refractory glaucoma were reviewed retrospectively. The success criterion was a stable postoperative intraocular pressure (IOP) between 6 and 21 mmHg with or without antiglaucoma medications during the study period. Failure was defined as an abnormal IOP outside of the above range on two consecutive visits, and cases that needed additional surgery to control IOP or to treat devastating surgical complications. We compared the differences in various clinical factors before surgery between the success and failure groups. Results: The Kaplan-Meier cumulative success rate was 71.1% at 12 months. Among the various clinical factors age, gender, right or left eye, phakia or pseudophakia, systemic disease such as diabetes and hypertension, preoperative IOP, preoperative number of antiglaucoma medications, and the number of previous glaucoma or other ocular surgeries were not significantly different between the success and failure groups. Implantation at the superotemporal site and steroid non-responsders of the fellow eye showed a significantly greater success rate than the superonasal site and steroid responders, respectively, after Ahmed glaucoma valve implantation. Conclusions: The efficacy of lowering the IOP of an Ahmed glaucoma valve would be expected to be greater if the patient is a steroid non-responder. Given the same conditions in the superotemporal and superonasal areas, implanting the Ahmed glaucoma valve in the superotemporal quadrant showed an ito increased success rate.

키워드

Ahmed glaucoma valve, Clinical factors, Refractory glaucoma, Success rate